Exam 5: Pharmacodynamics

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These type of drugs produce a response when they bind to the receptor:

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B

What adjustments in drug therapy may be needed to compensate for liver or kidney disease?

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Usually the dose is reduced as the drug will accumulate in the body due to decreased metabolism of the drug or decreased elimination of the drug; dose cut in ½ usually or based on liver enzyme and creatinine clearance

Which of the following are names of isoenzymes with the cytochrome P450 isoenzyme system? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

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A, C

Receptors can be located (select all that apply):

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An interaction where diphenhydramine (Benadryl) for allergies is given with the antianxiety drug alprazolam(Xanax), causing excessive sedation and fatigue is called:

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If a substrate is taken with an inhibitor of the same isoenzyme, the result would be:

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Certain risk factors increase the incidence of a drug interaction, such as: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

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If a drug is more potent than another drug, it is more efficacious than the other drug.

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If a patient has kidney disease, what is affected and what happens to drugs?

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If a person has cardiovascular disease, drug distribution, metabolism and excretion may be affected negatively.

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The most common isoenzyme system of the cytochrome P450 isoenzyme system is:

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Explain the following terms: minimum effective concentration, minimum toxic concentration and therapeutic window.

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When simvastatin (substrate), a cholesterol-lowering product, is combined with grapefruit juice (inhibitor), it results in a decreased levels of simvastatin in the body.

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An example of antagonistic interaction would be a patient taking penicillin (a bactericidal antibiotic) and azithromycin (a bacteriostatic antibiotic) together, resulting in an increase of the blood levels of penicillin.

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The drug or the natural body substance attaches to its receptor, much like a lock and a key.

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Dosing adjustments would need to be done for the following conditions: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

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Within a population, a dose of medication may produce a dramatic response in one patient while having no effect in another.

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Within the kidney is a system of enzymes called the cytochrome P450 (CYP450) isoenzyme system, and these enzymes are used to metabolize or chemically alter drugs.

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Agonists are drugs referred to as facilitators of cellular action.

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A drug that increases the amount and activity of that specific CYP450 isoenzyme is called:

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